This policy has been revised by the policy posted on September 1, 2006.

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The Practical Significance of Lactose Intolerance in Children

Individuals using milk-based diets in refeeding programs occasionally report initial problems with diarrhea aggravated or precipitated by lactose. In this early phase, a hydrolyzed lactose or lactose-free milk may be optimal. Apparently, however, whole milk is successfully used for refeeding, unless there is severe diarrhea. This suggests that the milder cases seen out of the hospital may present less significant problems. The report by Mitchell et al.,45 however, suggests that the effect of lactose may be more subtle. Although unavailable lactose may not present major problems to fat and nitrogen absorption, the decrease in metabolizable energy may be enough to decrease the rate of weight gain, lengthen hospital stays, and therefore decrease the effectiveness of lactose in refeeding programs, unless compensated for in the total diet. Comparable studies should be repeated in hospital and supplementary feeding programs to determine whether or not potential effects on nutrient bioavailability are as significant as this study suggests.


Related Article

Practical Significance of Lactose Intolerance in Children: Supplement
Committee on Nutrition
Pediatrics 1990 86: 643-644. [Abstract] [PDF]

The following policy statement is a revision:

Lactose Intolerance in Infants, Children, and Adolescents
Melvin B. Heyman for the Committee on Nutrition
Pediatrics 2006 118: 1279-1286. [Abstract] [Full Text] [PDF]



This article has been cited by other articles:


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 PediatricsHome page
M. B. Heyman and for the Committee on Nutrition
Lactose Intolerance in Infants, Children, and Adolescents
Pediatrics, September 1, 2006; 118(3): 1279 - 1286.
[Abstract] [Full Text] [PDF]

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 PediatricsHome page
J. P. Goldberg, S. C. Folta, and A. Must
Milk: Can a "Good" Food Be So Bad?
Pediatrics, October 1, 2002; 110(4): 826 - 832.
[Full Text] [PDF]

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 JAMAHome page
W. M. Liebman
Infantile Colic: Association With Lactose and Milk Intolerance
JAMA, February 20, 1981; 245(7): 732 - 733.
[Abstract] [PDF]